基于微信平台的医护引导模式对酒精性肝硬化患者自我管理行为的影响
|
摘要
目的探讨基于微信平台的医护引导模式对酒精性肝硬化患者自我管理行为的影响。方法酒精性肝硬化患者140例随机分为观察组和对照组,各70例。对照组接受常规护理和健康教育,观察组采取基于微信平台的医护引导模式进行自我管理。比较2组患者自我管理状况及并发症发生情况。结果干预后,与对照组相比,观察组患者的病情监测管理、用药管理、日常生活管理及饮食管理状评分均提高,差异有统计学意义(P<0.05)。2组并发症发生率差异无统计学意义(P>0.05)。结论基于微信平台的医护引导模式能提高酒精性肝硬化患者的自我管理行为,对降低并发症发生风险具有积极意义。
Objective To investigate the effect of medical education based on WeChat platform on self-management behavior of patients with alcoholic liver cirrhosis. Methods Totally 140 patients with alcoholic liver cirrhosis were assigned to the observation group and the control group, with 70 cases in each group. Patients in the control group received routine health education, and those in the observation group were given medical education based on WeChat platform. The self-management behavior of patients and incidence of complications were compared between two groups. Results Patients in the observation group achieved higher scores of illness monitoring, medication management; daily living, diet control compared with those in the control group(P<0.05). there was no significant difference in incidence of complications between two groups(P>0.05). Conclusion The medical education based on WeChat platform is effective to improve the self-management behavior of patients with alcoholic liver cirrhosis.
Objective To investigate the effect of medical education based on WeChat platform on self-management behavior of patients with alcoholic liver cirrhosis. Methods Totally 140 patients with alcoholic liver cirrhosis were assigned to the observation group and the control group, with 70 cases in each group. Patients in the control group received routine health education, and those in the observation group were given medical education based on WeChat platform. The self-management behavior of patients and incidence of complications were compared between two groups. Results Patients in the observation group achieved higher scores of illness monitoring, medication management; daily living, diet control compared with those in the control group(P<0.05). there was no significant difference in incidence of complications between two groups(P>0.05). Conclusion The medical education based on WeChat platform is effective to improve the self-management behavior of patients with alcoholic liver cirrhosis.
引文
[1] FJELD K, BEER S, JOHNSTONE M, et al. Length of Variable Numbers of Tandem Repeats in the Carboxyl Ester Lipase (CEL) Gene May Confer Susceptibility to Alcoholic Liver Cirrhosis but Not Alcoholic Chronic Pancreatitis[J]. Plos One, 2016, 11(11): e0165567.
[2] MAJC D, TEPES B. The Impact of Outpatient Clinical Care on the Survival and Hospitalisation Rate in Patients with Alcoholic Liver Cirrhosis[J]. Radiol Oncol, 2018, 52(1): 75-82.
[3] 陈丽云, 马丹, 柳来龙, 等. 利用微信平台为糖尿病视网膜病变出院患者实施延伸护理的效果评价[J]. 中华现代护理杂志, 2017, 23(8): 1130-1132.
[4] 张莉, 李娜. 基于微信平台的PBL教育模式对妊娠期糖尿病患者自我管理能力及妊娠结局的影响[J]. 天津护理, 2017, 25(2): 118-120.
[5] 江琳, 孙青, 张雅丽. 基于微信平台的延续护理在冠心病介入术后患者中的应用[J]. 护理管理杂志, 2017, 17(2): 140-142.
[6] 中华医学会肝病学分会脂肪肝和酒精性肝病学组. 酒精性肝病诊疗指南(2010年修订版)[J]. 中华肝脏病杂志, 2010, 18(3): 167-170.
[7] 王倩, 王燕, 高健, 等. 肝硬化患者自我管理行为量表的研制[J]. 中华护理杂志, 2014, 49(12): 1515-1520.
[8] FUKUI H, SAITO H, UENO Y, et al. Evidence-based clinical practice guidelines for liver cirrhosis 2015[J]. J Gastroenterol, 2016, 51(7): 629-650.
[9] 谭柳纯, 顾春妮, 黄雪霞, 等. 基于微信构建肝硬化患者出院健康管理平台的研究[J]. 护理学报, 2015, 22(23): 68-69.
[10] 李金玲, 王莉, 王淑琴, 等. 微信平台干预护理对慢性肝炎出院病人服药依从性及自我管理水平的影响[J]. 全科护理, 2015, 13(34): 3440-3442.
[11] 钱小洁, 高琳. 微信平台在外科护理管理中的应用效果[J]. 解放军护理杂志, 2015, 32(15): 54-56.
[12] ZHANG X, WEN D, LIANG J, et al. How the public uses social media wechat to obtain health information in china: a survey study[J]. BMC Med Inform Decis Mak, 2017, 17(Suppl 2): 66.
[13] 宋琴芬, 刘春娥, 尹光啸. 结直肠癌造口患者微信平台自我管理项目的构建及应用研究[J]. 中国实用护理杂志, 2017, 33(2): 120-125.
[2] MAJC D, TEPES B. The Impact of Outpatient Clinical Care on the Survival and Hospitalisation Rate in Patients with Alcoholic Liver Cirrhosis[J]. Radiol Oncol, 2018, 52(1): 75-82.
[3] 陈丽云, 马丹, 柳来龙, 等. 利用微信平台为糖尿病视网膜病变出院患者实施延伸护理的效果评价[J]. 中华现代护理杂志, 2017, 23(8): 1130-1132.
[4] 张莉, 李娜. 基于微信平台的PBL教育模式对妊娠期糖尿病患者自我管理能力及妊娠结局的影响[J]. 天津护理, 2017, 25(2): 118-120.
[5] 江琳, 孙青, 张雅丽. 基于微信平台的延续护理在冠心病介入术后患者中的应用[J]. 护理管理杂志, 2017, 17(2): 140-142.
[6] 中华医学会肝病学分会脂肪肝和酒精性肝病学组. 酒精性肝病诊疗指南(2010年修订版)[J]. 中华肝脏病杂志, 2010, 18(3): 167-170.
[7] 王倩, 王燕, 高健, 等. 肝硬化患者自我管理行为量表的研制[J]. 中华护理杂志, 2014, 49(12): 1515-1520.
[8] FUKUI H, SAITO H, UENO Y, et al. Evidence-based clinical practice guidelines for liver cirrhosis 2015[J]. J Gastroenterol, 2016, 51(7): 629-650.
[9] 谭柳纯, 顾春妮, 黄雪霞, 等. 基于微信构建肝硬化患者出院健康管理平台的研究[J]. 护理学报, 2015, 22(23): 68-69.
[10] 李金玲, 王莉, 王淑琴, 等. 微信平台干预护理对慢性肝炎出院病人服药依从性及自我管理水平的影响[J]. 全科护理, 2015, 13(34): 3440-3442.
[11] 钱小洁, 高琳. 微信平台在外科护理管理中的应用效果[J]. 解放军护理杂志, 2015, 32(15): 54-56.
[12] ZHANG X, WEN D, LIANG J, et al. How the public uses social media wechat to obtain health information in china: a survey study[J]. BMC Med Inform Decis Mak, 2017, 17(Suppl 2): 66.
[13] 宋琴芬, 刘春娥, 尹光啸. 结直肠癌造口患者微信平台自我管理项目的构建及应用研究[J]. 中国实用护理杂志, 2017, 33(2): 120-125.